Question: when reading about the dangers of alcohol withdrawal on this site, it said that one of them is if you drink 20 or more units a day. what is a unit considered??

John Lee Says...:

Hi Ann,

That's a good question and it's something that needed clarifying in the article (which has been updated.) A unit is 10 grams of pure alcohol. There are about 1.5 units in a standard drink (such as 1 can of regular strength beer, 5 oz of regular strength wine or 1.5 ounces of 40% alcohol liquor.) 20 units, therefore equals 13.3 standard drinks per day.

Of course, this is just one of a number of things to take into account when trying to predict a person's likely withdrawal severity. Since you can prevent withdrawal symptoms from getting serious with preventative medications but it's much harder to control serious symptoms once they get started, it's always better to err on the side of caution and play it safe.

Question: how do you get to the xanax discussion website

John Lee Says...:

Hi,

Benzo withdrawals and the side effects of these common drugs are so difficult and so it can help a lot to get advice from a community of people going through similar trials. There are a couple of really active discussion on Xanax and general benzodiazepine withdrawal on the ChooseHelp website.

You might like:

Xanax Withdrawal Symptoms - (This article has had more than 1000 people involved in the discussion). http://www.choosehelp.com/topics/detox/xanax-withdrawal-symptoms-how-to-get-off-xanax.html

Benzodiazepine Withdrawal - How to Taper - How to Cope - http://www.choosehelp.com/topics/detox/sedative-anti-convulsant-detox-ativan-ambient-benzodiazepines

11 Secrets to Successful Benzo Tapering http://www.choosehelp.com/topics/detox/how-to-taper-off-benzodiazepines-2013-11-secrets-to-success 

I hope this is the info you were looking for. If you have any further questions don't hesitate to ask.

Question: My daughter is on Facebook all the time. She graduated from high school last year and is taking a year or two off to figure out what she wants to do before college. As far as I can tell, all she wants to do is stay glued to that computer screen. She used to be a pretty social and outgoing girl, but now she barely leaves the house and the only contact she seems to want to have with others is through a computer screen. She had a part time waitressing job but she got let go last week after her manager said she wasn’t paying enough attention to the customers (she was on her phone). She says we’re out of date and out of touch and that this is just the way it nowadays, but all I can see is her wasting her life away without doing much of anything as she stays up all night on the computer. She bought her own phone and the computer was a gift from her grandparents and she pays her own bills. She’s not interested in hearing what we have to say on the matter – but I think she’s addicted to something unhealthy and I want to know how to get her to stop! What can I do?

John Lee Says...:

This is a challenging situation that’s not at all uncommon –
and since your daughter is an adult, you have fewer options than you would were
she a minor.

From the sounds of things, your daughter would benefit from
some counseling, for a couple of reasons.

1. Firstly, you don’t make mention of any other challenges that
   your daughter faces in your letter, but since internet addiction very often
   occurs as a co-occurring condition to other disorders, such as ADHD, anxiety,
   depression and others, it’s important to take a good look for anything else
   that may be amiss and, if necessary, to initiate treatment that will deal with
   any and all problems more or less at the same time – after all, if excessive
   internet usage is really a problem that stems out of social anxiety – than
   without reducing the anxiety, it’s going to be very hard to really change the
   behaviors that are caused by that anxiety. 
   For this reason, going to see a professional is a valuable first step to
   an accurate and complete diagnosis of any and all problems.
2. Secondly, you mention that your daughter sees you as out of
   touch with today’s means of communication. To be blunt, she does not consider
   you to have authority on the subject and so discounts what you say. For this
   reason, having her get a second, more neutral opinion, could be beneficial. A
   counselor may be able to help her see that her behaviors are extreme, even by
   the standards of today’s very plugged in youth.

Find Her a Therapist

Try to find a therapist in your area familiar with treating
compulsive internet use. The technique most commonly used to treat internet
addiction is cognitive behavioral therapy, which will help your daughter to
accept that using the internet recreationally for 12 or more hours a day isn’t
healthy and which will teach strategies that she can use to better manage her
use. Another technique that therapists might use is something called
motivational interviewing, which is an interviewing technique that’s used to
help people realize on their own that they need and want change.

Because your daughter doesn’t sound like she’s ready to seek
help on her own, you’re going to have bring out the carrot or the stick to get
her to agree to see a therapist. If there’s something that she wants, that
you’re willing and able to give her – then make that contingent on her agreeing
to see a therapist for a few sessions.

Or – if you can’t motivate her with rewards, you’ll
have to motivate her with the threat of consequences. For example – if she
won’t accept what you’re asking of her inform her that she will have to start
paying market rent for her accommodation. You don’t want to make this overly
punitive, but you do want to make the ‘cost’ of not agreeing to get therapy
greater than the ‘cost’ of agreeing.

The good news for her is that cognitive behavioral therapy
is a very fast acting type of therapy – typically only 10 or 15 sessions are
required. This is not something that has to go on and on for ever and this is
something that is very focused on the present and that will teach her new
skills for life – not something that will have her on a couch talking about her
childhood.

In addition to having her see a therapist, things that you
can try on your own, include:

• Encouraging your daughter to get more involved in real-world
  activities – supporting her interests or taking her out on outings – join a
  club or sports team together!
• Have someone her own age talk to her about her internet use.
  She may not feel you have any authority on the subject, but she may accept the
  concerns of one of her peers more easily. Ask one of her friends of a
  close-on-age family member to have a few words with her.